Virtual HIM Inpatient Coding Auditor I

4 months ago

Dallas, United States Parkland Health Full time

Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that’s served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It’s our passion.

PRIMARY PURPOSE

Conducts audits of medical record coding to ensure compliance with established guidelines, provides results of audits, and assists with educational activities related to findings to promote adherence to state/federal laws and regulatory requirements.

MINIMUM SPECIFICATIONS

Education:

- Must be a graduate of a Health Information Management program or must have successfully completed an approved Coding educational program.

Experience:

- Must be a Registered Health Information Administrator (RHIA) plus four years of review/coding experience; OR must be a Registered Health Information Technician (RHIT) plus six years of review/coding experience; OR must be a Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Professional Coder (CPC),or Certified Professional Coder-Hospital (CPC-H) with eight years of review coding experience.

Equivalent Education and/or Experience

- May have an equivalent combination of education and experience to substitute for the experience requirements.

Certification/Registration/Licensure

- Must be a Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS), or Certified Coding Specialist-Physician (CCS-P), or Certified Professional Coder (CPC),or Certified Professional Coder-Hospital (CPC-H).

Skills or Special Abilities

- Must be able to demonstrate time management, organizational, oral and written communication skills.

- Must be proficient and demonstrate and advanced knowledge in ICD-9-CM and CPT/HCPCS coding and abstracting and have an advanced clinical knowledge of medical terminology, disease process and pharmacology.

- Must score a minimum of 85% on a pre-employment coding test.

- Must be able to demonstrate knowledge of reimbursement (Medicare and Medicaid) principles and methodologies (MS-DRG and APC).

- Must have a working knowledge of the compliance guidelines related to coding and billing.

- Must have strong skills in diplomacy, professionalism and trustworthiness.

- Must be able to demonstrate excellent computer skills, including word processing, spreadsheet and database management software proficiency.

Responsibilities

1. Conducts quality reviews on all coders using the official coding guidelines as published in AHA Coding Clinic and AMA CPT Assistant, and hospital policy, including specific payer guidelines, rules, regulations in analyzing questionable documentation to ensure the accuracy and completeness of clinical and financial information reported for billing of hospital services. Provides feedback to the coders on findings as needed. Provides reports of findings to the Coding Compliance Manager. The Outpatient area utilizes the CMS regulatory coding and billing guidelines, the National Correct Coding Initiative, the Local and National Coverage Determinations to resolve billing edits.

2. Analyzes medical record documentation to assure that coding and abstracting of data is in compliance with the official coding guidelines as published in the American Hospital Association's Coding Clinic for ICD-9-CM and the American Medical Associations CPT Assistant

3. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. Provides input as requested to assist in the development of effective internal controls that promote adherence to applicable state/federal laws, and the program requirements of accreditation agencies and federal, state, and private health plans.

4. Stays abreast of the latest developments, advancements, and trends in medical records coding by attending educational programs, reading professional journals, actively participating in professional organizations, and maintaining certification. Integrates knowledge gained into current work practices.

5. Assists in ensuring that abstracted coded data and other elements are correct and appropriate. Assists in ensuring that data being submitted to state/federal and other regulatory agencies is correct and appropriate.

6. Maintains a positive working relationship with physicians, nurses, medical staff and hospital employees to ensure that all work-related encounters are productive.

7. Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals for the department and Parkland.

8. This position is 100% Virtual. Virtual employees must also comply with all Parkland policies and procedures governing the use of Parkland information resources. Virtual employees must maintain all equipment lent by Parkland for performing the agreed upon job duties in good working condition. All employment responsibilities and conditions in applicable Parkland policies and procedures apply to employees while working virtually.

Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. As part of our commitment to our patients and employees’ wellness, Parkland Health is a tobacco and smoke-free campus.

  • Acute Inpatient HIMS Coding Specialist

    4 weeks ago

    Dallas, Texas, United States CornerStone Staffing Full time

    Job Title: Acute Inpatient HIMS Coding SpecialistCornerStone Staffing is seeking a skilled Acute Inpatient HIMS Coding Specialist to join our team. As a key member of our healthcare team, you will be responsible for abstracting clinical information from medical records, assigning and sequencing ICD-10-CM/PCS diagnosis and procedure codes, and reviewing and...

  • Coding Auditor and Educator

    4 weeks ago

    Dallas, Texas, United States University of Texas Southwestern Medical Center Full time

    About the RoleThe University of Texas Southwestern Medical Center is seeking a skilled Coding Auditor and Educator to join our team. As a key member of our Health Information Management department, you will be responsible for auditing inpatient and outpatient medical records for coding accuracy and providing individualized educational feedback to our coding...

  • Coding Specialist III, Inpatient

    4 weeks ago

    Dallas, Texas, United States UT Southwestern Medical Center Full time

    About the RoleWe are seeking a skilled Coding Specialist III, Inpatient to join our team at UT Southwestern Medical Center. As a key member of our coding team, you will be responsible for accurately coding inpatient accounts using ICD-10 CM/PCS, in compliance with the Official Coding Guidelines and conventions.Key ResponsibilitiesConcurrently or...

  • DRG Coding Auditor

    4 weeks ago

    Dallas, Texas, United States CalpionPlutus Health Full time

    Job Title: DRG Coding AuditorJob Summary:The DRG Coding Auditor is responsible for reviewing and auditing medical records to ensure accurate coding and billing according to Diagnosis-Related Group (DRG) guidelines. This role involves verifying the correctness of codes used for diagnoses and procedures, ensuring compliance with regulatory standards, and...

  • Senior Medical Coding Auditor

    2 days ago

    Dallas, United States Insight Global Healthcare Full time

    Job DescriptionJob Description***6-month contract-to-hire***Job summary:We are looking for a Senior Medical Coding Auditor and Trainer to join our team! This person provides network physicians and business office staff with applicable billing/ coding and related reimbursement guidelines, to include federal/state laws and regulatory requirements affecting...

  • Senior Accounting Manager/Accounting Director

    4 weeks ago

    Dallas, Texas, United States Virtual Full time

    Senior Manager/Director of AccountingDallas, TX - onsite to start One of Vaco's PE backed distribution clients is looking to onboard a Director of Accounting as part of an overall effort to "upgrade" their finance and accounting teams as the company continues to grow. Company offers: upward mobility, outstanding leadership/strong culture, opportunities to...

  • Coding and CDI Specialist

    4 weeks ago

    Dallas, Texas, United States Children's Health Full time

    Coding and CDI SpecialistJob Summary:The Coding and CDI Specialist will be responsible for performing medical record coding and documentation reviews for inpatient, observation, ambulatory surgery, emergency department, and other outpatient encounters. This role will also provide coding education based on review findings and act as the coding and...

  • Medical Records Coding Specialist

    4 weeks ago

    Dallas, Texas, United States Methodist Health System Full time

    Job Summary:As a Medical Records Coding Specialist at Methodist Health System, you will play a vital role in ensuring the accuracy and quality of patient data. This position requires a high level of attention to detail and the ability to work collaboratively with multidisciplinary teams to provide exceptional patient care.Key Responsibilities:• Classify...

  • Healthcare Coding Specialist III

    4 weeks ago

    Dallas, Texas, United States Parkland Health and Hospital System (PHHS) Full time

    Parkland Health and Hospital System (PHHS) is seeking a skilled Coding Specialist III to join our team. As a Coding Specialist III, you will play a critical role in ensuring the accuracy and integrity of patient medical information. This position requires a high level of proficiency in coding and abstracting, as well as excellent communication and leadership...

  • Medical Coding Specialist

    4 weeks ago

    Dallas, Texas, United States ClaimReturn Full time

    We are seeking an experienced medical coder to join our team at ClaimReturn in Dallas, TX. As a medical coding specialist, you will be responsible for creating logic, answering provider coding questions, and quality assuring edits. You will work closely with our team to ensure compliance with CMS and NCCI national billing and coding guidelines.Key...

  • Vehicle Photographer I

    2 days ago

    Dallas, United States Cox Communications Full time

    Capture and process electronic images of vehicles. Upload all pictures associated with electronic condition reports (ECR) and verify the quality and accuracy of each photograph. Maintain knowledge of Digital Quality Image (DQI) website. Re-image or r Auditor, Photographer, Vehicle, Audit, Photography, Accounting

  • Healthcare Coding Specialist III

    4 weeks ago

    Dallas, Texas, United States Parkland Health and Hospital System Full time

    Parkland Health and Hospital System is seeking a skilled Coding Specialist III to join our team. As a Coding Specialist III, you will play a critical role in ensuring the accuracy and integrity of patient medical records.The ideal candidate will have a strong background in coding and abstracting, with experience in ICD-10 CM, PCS, CPT, HCPCS, HCC, HEDIS CAT...

  • Medical Coding Specialist

    4 weeks ago

    Dallas, Texas, United States ClaimReturn Full time

    We are seeking an experienced medical coder to join our team at ClaimReturn in Dallas, TX. As a medical coder, you will be responsible for creating logic, answering provider coding questions, and quality assuring edits. You will work closely with our team to ensure that our coding conventions are up-to-date and compliant with CMS and NCCI national billing...

  • Medical Coding Specialist

    4 weeks ago

    Dallas, Texas, United States CalpionPlutus Health Full time

    Job OverviewWe are seeking a highly skilled Medical Coding Specialist to join our team at Plutus Health Inc. As a key member of our Revenue Cycle Management (RCM) team, you will be responsible for ensuring accurate coding of diagnoses and procedures, managing AR processes, and helping maximize reimbursement for hospital services.Key ResponsibilitiesMedical...

  • Senior Accounting Manager/Accounting Director

    4 weeks ago

    Dallas, Texas, United States Virtual Full time

    Accounting Leadership OpportunityDallas, TX - onsite to startOur client, a PE backed distribution company, is seeking a Director of Accounting to join their finance and accounting teams as they continue to grow.Company Highlights:Upward mobility opportunitiesStrong leadership and cultureChance to create and improve processesResponsibilities:Prepare accurate...

  • Outpatient Facility Coding Director

    4 weeks ago

    Dallas, Texas, United States University of Texas Southwestern Medical Center Full time

    Why Choose University of Texas Southwestern Medical Center?As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the #1 hospital in Dallas-Fort Worth for the sixth consecutive year, we invite you to continue your healthcare career with us at William P....

  • Senior Accounting Manager/Accounting Director

    3 weeks ago

    Dallas, United States Virtual Full time

    Senior Manager/Director of Accounting Dallas, TX - onsite to start One of Vaco's PE backed distribution clients is looking to onboard a Director of Accounting as part of an overall effort to “upgrade” their finance and accounting teams as the company continues to grow.   Company offers: upward mobility, outstanding leadership/strong culture,...

  • Healthcare Coding Specialist II

    1 month ago

    Dallas, Texas, United States Parkland Health Full time

    Career Opportunity with Meaning and GrowthParkland Health is seeking a skilled Coding Specialist II to join our team. As a key member of our healthcare team, you will play a vital role in ensuring accurate coding, abstracting, and billing for emergency department, same day surgery, outpatient clinic, observation, and inpatient OB/newborn...

  • Senior Staff Accountant

    3 weeks ago

    Dallas, United States Virtual Full time

    Senior Staff – GL & Financial Reporting Accountant Dallas, TX - (Hybrid - 4 Days Onsite/Week)Company offers: Great work life balance (rarely over 40 hours/week) Annual 401K cash bump bonus in addition to traditional 401k program Stock option program One of Vaco's global, publicly-traded Industrial clients is looking to bring on a GL & Financial Reporting...

  • Property Accounting Manager

    3 weeks ago

    Dallas, United States Virtual Full time

    Property Accounting Manager- Hybrid Location: Dallas, TX – 2 days on site a week Compensation: $115K + Bonus + Equity One of Vaco’s clients is seeking a Property Accounting Manager to join their dynamic finance team. With a robust portfolio and a focus on expansion, this is an excellent opportunity to drive financial strategy and enhance accounting...